Tears normally drain from the eye into the nose through a small duct. When that duct is blocked, tears overflow onto the cheek (epiphora) and the tear sac can fill and become infected — dacryocystitis.
It is bothersome rather than dangerous, but an infected tear sac can flare painfully — and it is very treatable. Backed by NABH accreditation and an AIIMS- and Leicester-trained oculoplastic surgeon.
Epiphora · Watering eye · Tear sac infection · Blocked tear duct
Oculoplasty & Lacrimal (Tear-Duct) Surgery
Tears normally drain through a duct into the nose. If that duct is blocked, tears overflow (epiphora) and the tear sac can fill and become infected — called dacryocystitis — causing a tender, red swelling at the inner corner of the eye, sometimes with discharge.
Watering can also come from irritation, dry eye (reflex tearing) or eyelid malposition, which is why an accurate diagnosis matters before treatment.
Blocked tear duct — the duct into the nose is narrowed or closed, so tears cannot drain and overflow onto the cheek.
Infected tear sac (dacryocystitis) — stagnant tears in a blocked sac become infected, causing a tender, red swelling and discharge.
Dry eye — a dry surface triggers reflex tearing, so the eye paradoxically waters more.
Eyelid malposition — an in- or out-turned lid stops tears reaching the drainage opening at the inner corner.
Surface irritation — dust, allergy or infection makes the eye produce extra tears that overwhelm normal drainage.
Treatment depends entirely on the cause — which is why the watering is diagnosed accurately first. The steps below run from clearing an infection to definitively fixing a blocked duct.
For acute dacryocystitis, antibiotics settle the infection, supported by warm compresses to ease the swelling and discomfort.
Where dry eye or an eyelid malposition is driving the watering, treating that directly — rather than the tears alone — is what resolves it.
For a confirmed blocked tear duct, dacryocystorhinostomy creates a new drainage path between the tear sac and the nose — the definitive fix.
About DCR surgeryFor a confirmed blocked tear duct, dacryocystorhinostomy (DCR) is the definitive treatment — it creates a new drainage channel between the tear sac and the nose, and can be performed through the nose with no skin scar.
The right treatment, its benefits and any risks depend on the underlying cause, the stage of infection and your overall eye health, and can only be determined after a detailed evaluation with our doctors.
Indicative starting-from ranges, subject to consultation. Medical treatment of dacryocystitis and DCR surgery are medically necessary and usually covered by insurance, subject to your policy — we help with pre-authorisation.
Tear-duct and eyelid surgery are sub-specialist work. Here it is led by an internationally trained oculoplastic surgeon, in an accredited hospital built for it.
Internationally trained sub-specialist — an oculoplastic surgeon (AIIMS + Leicester, UK) practising exclusively in eyelid, tear-duct and orbital surgery.
Reconstructive and cosmetic expertise under one roof — a NABH-accredited hospital with three modular operation theatres and an in-patient ward.
20+ years of institutional experience — 1.2 lakh+ surgeries performed at the centre, across every eye speciality.
Affordable, supported access — cashless insurance for medically necessary procedures, Easy EMI and government schemes.
Oculoplasty, tear-duct & ocular aesthetics · AIIMS + Leicester, UK
An internationally trained oculoplastic surgeon who practises exclusively in periocular plastic and reconstructive surgery. MBBS at Maulana Azad Medical College and MD in Ophthalmology at Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS New Delhi (Best Senior Resident, 2012), followed by an Oculoplasty & Ocular Aesthetics fellowship at Leicester University, UK.
View Full ProfileThe questions patients ask us most about a watering eye. For anything specific to your eyes, a consultation gives the clearest answer.
Medically reviewed by Dr. Saurbhi Khurana and the medical team at Dayal Eye Centre · Last reviewed: 29 July 2026 · Editorial Policy